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Alliance University HEOP Recruitment Form
Please Complete the form below. All (*) questions are required.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth (mm/dd/yy)
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Your answer
Social Security Number
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Your answer
Permanent Address
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Your answer
City | State | Zip
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Your answer
Gender
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Female
Male
Race/Ethnicity (requested for federal reporting, but optional)
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American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Native Hawaiian or Pacific Islander
White
Other:
Email
*
Your answer
Home Phone Number
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Your answer
Cell Phone Number
*
Your answer
Full Name of Parent/Guardian | Phone # | Email Address
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Your answer
High School Name | Address, City, State, Zip
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Your answer
What is your highest education?
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Choose
High School | GED
Associate degree
Bachelor's degree
None
Other
What year did you graduate high school?
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Your answer
Have you been accepted into Alliance University?
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Yes
No
Who is your Alliance University Admissions counselor?
*
Noah Levitt (Brooklyn, Bronx, Manhattan, Staten Island)
Manilla Piverger (Upstate, Queens, Long Island and International)
Katie McCoy (Upstate | Out of State)
Eliza Gloragille (Nursing)
Titus Wright (Out-of-State/National
Emma Webb (Athletics)
Other:
Required
Have you ever completed the Accuplacer exam?
*
Yes
No
Did you complete your FAFSA (Free Application for Federal Student Aid)?
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Yes
No
If so, what is your EFC (Expected Family Contribution)?
Your answer
Where can I find my EFC?
The EFC number will be located on the top-right of the Student Aid Report (SAR) you receive, either electronically or physically, a few weeks after filing your FAFSA.
Example:
Current GPA (If you are not sure, please enter "N/A")
*
Your answer
Cumulative GPA (If you are not sure, please enter "N/A")
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Your answer
SAT Math Score (If you are not sure, please enter "N/A")
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Your answer
SAT Reading & Writing (If you are not sure, please enter "N/A")
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Your answer
SAT Score Combined (If you are not sure, please enter "N/A")
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Your answer
How many family members are in your household?
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Your answer
Family Income
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Your answer
What year did your parents file taxes?
*
Choose
2021
2022
2023
Other:
Were you already in enrolled in a program from a previous school (HEOP, EOP, SEEK etc.)
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Yes
No
If yes, what program?
*
Your answer
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